How is Breast Implant Replacement Surgery Done?

I have textured silicone implants in a subglandular placement and want to replace them with smooth silicone implants under the muscle. Will the new implants be placed in at the time of removal of the textured ones? Or will it have to be done in two separate procedures so I can heal from the first surgery first. I hate to have to walk around with deflated boobs for months.

Removal and replacement of breast implants

March 30th, 2011

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In almost every case, the removal of subglandular and replacement with submuscular implants is done as one procedure. Consult with an experienced, board certified plastic surgeon. Upon examination, your surgeon will be able to discuss the risks and benefits of performing these procedures as one. Best wishes!

Implant exchange under the muscle - silicone breast implants

October 3rd, 2010

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There are a number of very valuable reasons to exchange your implant position to one that is under the muscle. I perform these implant exchanges in one operation ,unless significant nipple repositioning is planned.

Breast Implant Removal Pictures

Breast Implant Removal Surgery - What to Expect

July 22nd, 2014

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It’s not unusual for patients who
have breast implants on top of the pectoralus muscles to request relocation to
a sub-muscular position. In the
vast majority of cases this can be easily accomplished by simply removing the
implants and replacing them in a sub-muscular pocket. In most cases, this maneuver is associated with excellent
aesthetic results and high satisfaction rates.

Implant repositioning may be
undertaken for a variety of reasons.
Two of the more common causes include capsular contracture and the
development of breast sag. These
represent unique situations that may require additional surgery.

When severe
capsular contractures are present, it may be necessary to perform a
capsulectomy. In other cases where
severe breast sag is present, breast lift surgery may be necessary. Under these circumstances, it may be
necessary to stage these procedures to optimize the result.

If you’re considering implant
repositioning it’s appropriate to consult a board certified plastic
surgeon. This surgeon should be
able to formulate an appropriate treatment plan for your condition.

Implant exchange.

July 22nd, 2013

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Implant exchange is a very common procedure. There are so many women out there (myself included) who have had their implants in for many years. It is not uncommon for a woman's body to change over the years and she may decide to get new implants for any one of a number of reasons. Common reasons include weight gain or loss since original augmentation, pregnancy or pregnancies that cause significant change in breast shape or size or simple desire for larger or smaller implants. Whatever the reason, a woman has a number of options when considering implant exchange. This can almost always be done in one operation.

Replacement of Breast Implants to Submuscular Position?

December 3rd, 2011

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Thank you for the question.

Generally, it is possible to replace implants under the pectoralis muscle (dual plane). I usually do this procedure (removal of sub glandular implants and replacement in the submuscular position) in a single stage.

However, the major issue of concern is the overlying breast tissue and skin and whether further surgery will be necessary to achieve the aesthetic results desired. For example, some patients who have implants replaced into the sub pectoral space may benefit from breast lifting to achieve the desired goals.

This type of surgery does require some level of experience. It would behoove you to seek consultation with well experienced board-certified plastic surgeons well-versed in revisionary breast surgery.

How is Breast Implant Exchange Done ?

January 25th, 2011

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For the majority of cases, breast implant exchange is done in one procedure where the old ones are removed and the new ones placed in the same or different position depending upon the reason for the exchange.

For example, if there is no significant capsule and the patient wants a larger size, then the same pocket above the muscle (subglandular) or below the muscle (submuscular) can be used.

On the other hand if, for example there is a capsule problem then the same pocket might be used if the capsule is released or excised first. Otherwise, it may be better to place the implant in a different pocket.

A thorough discussion with your plastic surgeon is necessary to understand your treatment options, and their risks and advantages.

Silicone implants may make your breasts more attractive

November 23rd, 2010

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Our patients are often happy with the implants replaced at the time of removal. Experience matters. I individualize breast enhancement procedures based on over 10,000 plastic surgery assessments. Most of our patients have done exceptionally well doing both at the same time. Silicone implants often result in a softer, more attractive outcome.

Breast implant revision surgery

October 12th, 2010

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I typically recommend removal and replacement with smooth silicone implants in the submuscular position for patients that present with subglandular implants. If you need a lift, it can be done at the time of surgery, or in a delayed fashion. I recommend up-sizing the implant about 75 cc when switching to the submuscular plane- this position tends to 'blunt' the volume of an implant.

These answers are for educational purposes and should not be relied upon as
a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.